CMS-1500 (1418) IB FORM SKELETON DEFINITION (364.6)
Name
Value
BILL FORM
CMS-1500
SECURITY LEVEL
NATIONAL,NO EDIT
PAGE OR SEQUENCE
1
FIRST LINE NUMBER
15
LOCAL OVERRIDE ALLOWED
YES
STARTING COLUMN OR PIECE
1
LENGTH
24
SHORT DESCRIPTION
PATIENT CITY ADDRESS (BX-5/2A)
